Individual
JEFFERSON THAYER MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N INTERSTATE 35, STE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Mailing address
1400 N INTERSTATE 35, STE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
N5870
TX
2084V0102X
Vascular Neurology Physician
Primary
N5870
TX
2085R0204X
Vascular & Interventional Radiology Physician
N5870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285129702
—
TX
05
—
285129703
—
TX
05
—
TXB149044
—
TX
Enumeration date
08/29/2007
Last updated
01/29/2013
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